Horvath v. Dodaro

160 F. Supp. 3d 32, 2015 U.S. Dist. LEXIS 158521, 2015 WL 7566665
District Court, District of Columbia·Decided November 24, 2015·No. Civil Action No. 2015-0210·Published·Cited by 7 cases

Opinion

MEMORANDUM OPINION

COLLEEN KOLLAR-KOTELLY, United States District Judge

On June 23, 2004, Plaintiff Edward Horvath married his then-partner Richard Neidich in Massachusetts after marriage between two people of the same gender, or sex, became legal in the Commonwealth of Massachusetts. See Goodridge v. Dep’t of Public Health, 440 Mass. 309, 798 N.E.2d 941, 969 ( 2003). Soon thereafter, Plaintiff, who was at that time an employee of the Government Accountability Office (“GAO”) — now a GAO retiree — sought unsuccessfully to add his husband to his employer-sponsored health insurance plan. The GAO refused his request in light of the Defense of Marriage Act (“DOMA”), which defined marriage as a union between a man and a woman. Almost ten years later, on June 26, 2013, the Supreme Court of the United States held the Defense of Marriage Act unconstitutional in United States v. Windsor, — U.S. -, 133 S.Ct. 2675, 186 L.Ed.2d 808 (2013). In the aftermath of the Supreme Court’s decision in Windsor, Plaintiff successfully added his husband to his GAO health insurance policy. Plaintiff also sought compensation for the GAO’s prior refusal to add his husband to his policy. After the GAO refused to provide backpay or other remedies with respect to its prior refusal to add Plaintiffs husband to his health insurance coverage, Plaintiff, proceeding pro se, brought this action seeking financial compensation (including backpay and interest) and punitive damages, as well as attorney’s fees and costs. Presently before this Court is Defendants’ [10] Motion to Dismiss Pursuant to Fed. R. Civ. P. 12(b)(1) and 12(b)(6). The question before the Court is not whether Plaintiff was harmed by the GAO’s refusal to add Plaintiffs husband to his health insurance coverage; the question for the Court, rather, is whether Plaintiff can pursue the remedies that he seeks, after the fact, in this action. The Court concludes that he cannot. Upon consideration of the pleadings, 1 *37 the relevant legal authorities, and the record for purposes of this motion, the Court GRANTS Defendants’ motion, for the reasons stated below. The Court dismisses this case in its entirety.

I. BACKGROUND

The Court considers the facts as alleged in both the Amended Complaint and Plaintiffs Memorandum of Law in Opposition to Motion to Dismiss — as the Court must in a case filed by a plaintiff proceeding pro se. See Brown v. Whole Foods, 789 F.3d 146, 152 (D.C.Cir.2015) (holding that district court must consider facts alleged in all of pro se plaintiffs pleadings, including an opposition to a motion to dismiss, in resolving a motion to dismiss). However, the Court does “not accept as true ... the plaintiffs legal conclusions or inferences that are unsupported by the facts alleged.” Ralls Corp. v. Comm. on Foreign Inv. in U.S., 758 F.3d 296, 315 (D.C.Cir.2014).

A. Statutory and Regulatory Framework

The Court first describes the statutory and regulatory framework for the administration of federal health benefits, including disputes pertaining to such benefits, and then describes the statutory and regulatory scheme for resolving claims of discrimination against the GAO.

“The Federal Employee Health Benefits Act [the ‘Act’] establishes a subsidized health insurance program for civilian employees and annuitants of the federal government.” Mut. of Omaha Ins. Co. v. Nat’l Ass’n of Gov’t Employees, Inc., 145 F.3d 389, 390 (D.C.Cir.1998). “Under the Act, the Office of Personnel Management [‘OPM’] is given broad authority to administer the Federal Employees Health Benefits Program.” Bolden v. Blue Cross Blue Shield, 848 F.2d 201, 203 (D.C.Cir.1988); see also 5 U.S.C. § 8913 (“The regulations of the Office may prescribe the time at which and the manner and conditions under which an employee is eligible to enroll in an approved health benefits plan”). Utilizing its rulemaking authority, OPM created a remedial scheme for the resolution of enrollment disputes. An initial decision regarding enrollment is rendered by “an employing office” when issued “in writing and stating the right to an independent level of review (reconsideration) by the agency or retirement system.” 5 C.F.R. § 890.104(b). An employee may seek reconsideration within 30 days of the initial decision. Id. § 890.104(d). Upon a request for reconsideration, an agency must conduct “an independent review designated at or above the level at which the initial decision was rendered.” Id. § 890.104(c)(2). “After reconsideration, the agency or retirement system must issue a final decision, which must be in writing and must fully set forth the findings and conclusions.” Id. § 890.104(e). “The district courts of the United States have original jurisdiction, concurrent with the United States Court of Federal Claims, of a civil action or claim against the United States founded” on the Act. 2 5 U.S.C. § 8912.

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Horvath v. Dodaro, 160 F. Supp. 3d 32, 2015 U.S. Dist. LEXIS 158521, 2015 WL 7566665 (D.D.C. 2015).

160 F. Supp. 3d 32 (Horvath v. Dodaro) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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